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Life in the Fast Lane • LITFL • Medical Blog

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Justin Hensley, MD

About Justin Hensley, MD

Emergency physician with interests in wilderness and prehospital medicine. Medical Director of the Texas State Aquarium, Padre Island National Seashore, Robstown EMS, and Code 3 ER.

Acute mountain sickness is more than one syndrome

by Justin Hensley, MD, last update January 18, 2019

EBM Gone Wild mountain 340

Acute mountain sickness is more than one syndrome. When acute mountain sickness affects up to half of those who ascend beyond 4500m, it’s something we really don’t know as much about as we would like.

Death by caterpillar. Consider zebras, but don’t memorize them

by Justin Hensley, MD, last update January 17, 2019

EBM Gone Wild creepy crawly 340

I’ve given lectures on lepidoptera before. There are between 200-3500 envenomations from lonomia spp reported every year in Brazil, but they’ve increased yearly since 2000. This is most likely from increased time in the rain forest by loggers and people recreating, but it was originally described in rubber tree tappers. The giant silkworm moth caterpillar […]

Everything you know about snakebites is wrong.

by Justin Hensley, MD, last update January 17, 2019

EBM Gone Wild snake 340

Well, maybe. The 6 T’s though? Testosterone, Tank, Teasing, Tequila, Tattooed, and Tanktop? Yeah, they’re not correct. The terms “legitimate” and “illegitimate” as pertaining to snakebites imply a perception of the patient that may cloud your judgement in treating.

Are you using the heel hook for climbing? Should you?

by Justin Hensley, MD, last update February 8, 2019

EBM Gone Wild mountain 340

Acute injuries in rock climbing either come from a fall onto the lower leg or from performing a hard move and injuring the upper extremity.

No really, snakes can still hurt you after they’re dead

by Justin Hensley, MD, last update February 8, 2019

EBM Gone Wild snake 340

Even though we have all (hopefully) been taught that dead snakes can still envenomate people, apparently it hasn’t been reported much in the literature. I say this because this case report is in press as of 18 Nov 2016.

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